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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE SCANNED PLANNIlVG & DEVELOPMENT SERVICES St Lucie County Building & Code Compliance Division .. BUILDING PERMIT SUB -CONTRACTOR AGREEMENT��, Co v " F` rl a Zee.. ?'r c- �� �- have agreed to be (Co `parry Name/Individual Name) the E l ec- I",-, z e / Sub -contractor for CA.) !4 fi ,7 -e Ae c e_ f O^ (Type of Trade) (Primary Contractor) For the project located at (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. . CONTRACTOR SIGNATURE (Qualifier) E&04COWRACTOR SIGNATURE (Qualifier) PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida, County of� l State of Florida, County ofU,Y�C i e �. The foregoing �instrument �was signed before me this • d�. ay of The foregoing instrument was signed before me tbi � dayy of g 20�, by _ I_S7lVJd 213LCQ who is personally known �or has produced a . :+, •,. • who is personally known,V_or has produced a as identification. as identification. Lc STAMP STAMP Signature of Notary Public Signature of Notary Ill /<� O2r2i is-, 6 �o.-Q C'������� PriutName of Notary Public Print Name of Notary Public o;Fbrida �„ �r ru Kerb UdKe. 4:'�•.'.•:•, IAURA R. CU$BEDGE My CommissioA i F.. 9785d3 -.;; Commission# GG 022076 Revised 11/10016 o' EXPires 054512020 s; o I`�:�; ExAites OctoFer2l; 2020 �'a��na• BondedihNTroyFainlelufaete8Mp 7019 ....... ....... J14? Pgp,MIT# . MG. DEVE'LOMW * SERVICES yanding,& CO' do C omplianw.]DJANIon somim9im, ft.:R Wynn@ ogyplopmW fit, for ow--p m� g. it -1@,cwd fa 1-Ce fjoluragod fjmib I F&C'm - jo any dmp Ow PAAMPOWn W, J* irk 0404jag mid cod@ -guwjofi 9- MOW of st, W- &, Conty WjJJ bo &4yl§@d 'PUM110% to ft of 4. Chgo'go 0 50--conlygor WOO-, ........... Osseo W@ wynft 41T, WIN W)"901-1-C ivn aaA lo-x-o-q4y CNN I&St:(A) VAROWn offlOspy Pnb* Rob@)t Ludlum' IN20 1U jWwofflorojo I ? COMM, ; TIP dium Robert U WAS Rhonda L004Y N BASKIN DOROTHYANN BASKIN G 03 ;mmi 16A- N # G 0145 My COMMISSION # 6G 030145 ob r 2 2020 EXPIRES: 6ctdber'2,.2020 u lie Underwriters ,Bonded Thru Notary public Undewnta(S r =P WAW PERMIT'# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Coda Compliance Division BC3 i) N6 PERMTr SUD-CCf1VTRAG"Talt AGR MENT Comfort Control of St.. Lucie County, IAc.' have'agreed•to'be (Company Nsaie&dividual Name) the HVAC Sub-contractorfor Wy.nne beveloUment Corp. (Type of Trade) (Primary Contractor) (� s For the project Ideated at 2�� " � � �—Q S� �- • . (Project Street Address or Property Tax m #�) It is understood that, if there is any change of status. regarding our participation with the above mentioned project, the Building and Code Regolation-Division of St. Lucie=County will be adAsed puisuant.to the filing of a Change of Sub -contractor notice. CON "CTOR S 0n=1 (QuariSer). Matthew Lyle Wynne PRINT NAME 08898 8288 COUNTY CERrMCATION NUM1rA COUNTY CERTNICATION NUMBER $igre of Plprida, COumty OY ,i..��, �`�1��r StAt Hof Florins, County of The foregoing lastrumt>at was *Ad befdre me thhA dr day of Tbe�oFe�oinE instrument was aided before me this clay of 'CIC.as� 20t?by"!N wbo is personally known Y ar bss produced a who Is personally known Las produced A a6 identification,. as identWeation, STAW � STAMP gnature of WO—WrEjaFe Signature of Notary Pnbi DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October'2,2020 Revised I1/16/2016 print Name of Notaiy BubH DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES:October 2,2020 %;Fo .I� QQ'�• .Bonded Thru Natery.PubliaUndenvritem L66-d ZOOO/ZOOOd tLO-i 999L8L8ZLL di oo Su i p I i n8 auuAM -WWJ 9 L: Z L 9 L i-60-Z L ado If iqp� loti. VA t1the above.:#i�nt.% y .4 war lo-G.N. MUCTID PMT 'a',opw�* fSr,-LUC4e- reOf.. p 10 W-som IV= ..g ---------- DOROTHYANN BASKIN , 'AMY COMMISSION # GG 030145 Z,-- EXPIRES: Odtober2,2020 Rpt@ty.,FubUq VroWaftm Alw-o V%owof$ crC ^CA sig4a lc� , le d, DOROTHYANN BASKIN My COMMISSION # GG 030145 EXPIRES: 00tober 2,2020 .51 . 11 8 0 n & d 'T h r u N ot a r y P u b I lo U n & w- t M hili ... 1, .: